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become a contributing Member

The Phoenix Society for Burn Survivors was founded in 1977 in an effort to provide burn survivors, their loved ones and burn care professionals with support, inspiration and valuable resources. It has grown to become an International organization with members representing virtually every segment of the burn community. We are proud of our members and their support of our commitment to "Uplift and inspire anyone affected by the devastation of a bury injury through peer support, education, collaboration and advocacy."

 

Now that you have experienced the benefits of membership to our online community, please consider becoming a contributing member of the Phoenix Society. Your membership contribution will help to ensure the future of this great organization and the continuation of its life changing services.

 

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Your Personal Information
Information in this section WILL NOT BE USED on our site. Your personal information will only be used by the Phoenix Society to allow us to contact you if there are questions and to better serve your needs.
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Your Member Information

Information in this section CAN BE USED on our site to create your profile. A profile enables you to access the Message Board and the Chatroom using your User Name and Password.
How did you hear about the Society? I am a:
Burn Care Professional
Burn Support News
Internet
Other Survivors
Family or Friend
News/Media
Other

If other please specify:
Burn Survivor
Family or Friend of Survivor
Health Care Professional
Fire or EMS
Donor
Volunteer
Other

If other please specify:
Registered Non-Profit State of Registration
Hospital Affiliate
 
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